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Return the enclosed Annual Report FORM,a MAP.and a CHECK or MONEY ORDER made payable w: <br /> Division of Reclamation,Mining and Safety. 1313 Sherman St.,Room 215.Denver.CO SUM. It yew <br /> moons indumiemaese eocurnems and ince nave r been submittni.The <br /> If you nave additional comments and/or information that should be provided to the-Division, prissitiF <br /> it below or attach it to this form along with your written report and map. Annual Report instructions are <br /> enclosed. If you have any questions,please feel free to contact Scottie Tate((303)866-3567 ext 8166). <br /> Michelle Ramirez((303)866-3567 ext 8114),or email dnr_drmsminadmin@state.co.us. Thank you-for your <br /> cooperation in this matter. <br /> II 1 1 II ANNUM FF 1 SU13MI I [ALS ARF N()I RF.( LIVED ON OR BEFORE- YOUR <br /> ANNIVI RSARY I)A FF. 1 HI FNFORCLMF N I PROCESS W'll.l At!TOMA1 WALE \ BF <br /> INI T IA l l D. 1.NI OR( FMEN I AC I IONS MAY REM,' I IN CIVII PFNAI 711 S AND/OR <br /> RE VOLA I ION 01 YOl'R PERMI I <br />